COMPARATIVE ANALYSIS ON THE CASES OF EYE DISEASES (A CASE STUDY OF DUTSE GENERAL HOSPITAL FROM 2013-2022)

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ABSTRACT

The aim of this research is to analyze the data on eye diseases in General Hospital Dutse, Jigawa State from 2013-2022; To determine the trend of the three reported cases of eye diseases;To fit the linear model of the three cases of eye diseases. The research work has considered all the hospitals in jigawa state and all types of eye diseases, but the research deliberately limit it to three eye diseases (cataract, glaucoma and conjunctivitis from 2013 to 2022) and General Hospital Dutse, Jigawa State as a case study, so as to make the research work feasible at this level. The problems encountered in this research work include time constraint, lack of finance and difficulty in releasing data by hospital etc. In conclusion, the comparative analysis emphasized the importance of addressing the growing burden of eye diseases in the community served by General Hospital Dutse. The findings underscored the need for targeted interventions, awareness campaigns, and improved access to eye care services. The study also highlighted the importance of regular screenings and early detection in preventing the progression of eye diseases. Based on the findings, several recommendations emerge to mitigate the impact of eye diseases in General Hospital Dutse, Jigawa State: Enhance Awareness Programs: Implement community-based awareness programs to educate the population about the importance of eye health, preventive measures, and early detection; Improve Access to Eye Care Services: Invest in the expansion of eye care facilities, ensuring accessibility for all residents. This includes establishing outreach programs in remote areas and providing transportation for those in need.

 

 

 

 

 

TABLE OF CONTENTS

CONTENT                                                                                                                         PAGE

Title page       -           -           -           -           -           -           -                       -           -           -i

Declaration   -           -           -           -           -           -           -           -           -           -           -ii

Certification-            -           -           -           -           -           -           -           -           -           -           iii

Dedication     -           -           -           -           -           -           -           -           -           -           -iv

Acknowledgement   -           -           -           -           -           -           -           -           -           -v       

CHAPTER ONE

1.0 Introduction-      -           -           -           -           -           -           -           -           -           -1

1.1 Background of study     -           -           -           -           -           -           -           -           -3

1.2 Statement of the problem         -           -                       -           -           -           -           -4

1.3 Aim and objectives       -           -           -           -           -           -           -           -           -4

1.4 Significance of study    -           -           -           -           -           -           -           -           -5

1.5 Scope and limitation     -           -           -           -           -           -           -           -           -5       

1.6 Research questions       -           -           -           -           -           -           -           -           -5

CHAPTER TWO

2.0 Literature review           -           -           -           -           -           -           -           -           -7

2.1 Common Eye Diseases     -           -           -           -           -           -           -           -           - 8

Symptoms and signs of cataracts  -           -           -           -           -           -           -           -10

2.3 Cataract     -           -           -           -           -           -           -           -           -           -           -10

2.3.1 Causes of cataracts-       -           -           -           -           -           -           -           -           -11

2.4 Conjunctivitis        -           -           -           -           -           -           -           -           -           -12

2.4.1  Causes of conjunctivitis            -           -           -           -           -                       -           -13

2.4.2 Conjunctivitis symptoms-          -           -           -           -           -           -           -           -13

2.5 Glaucoma  -           -           -           -           -           -           -           -           -           -           -13

2.5.1 Causes of glaucoma       -           -           -           -           -           -                       -           -17

CHAPTER THREE

3.0 Method of data collection and analysis         -           -           -           -           -           -19

3.1 Introduction          -           -           -           -           -           -           -           -           -           -19

3.2 Method and instrument of data collection -         -           -           -           -           -           -19

 3.3 Methods of data analysis and statistical tools -   -           -           -           -           -           -19

3.4 Time series analysis. -        -           -           -           -           -           -           -           -           -19

3.5 Least square method. -      -           -           -           -           -           -           -           -           -20

3.6 Linear methods -   -           -           -           -           -           -           -           -           -           -20

3.7 Kruskal – Walis Test. -      -           -           -           -           -           -           -           -           20

CHAPTER FOUR

4.1 Data presentation          -           -           -           -           -           -           -           -           -24

4.2 Data Analysis -              -           -           -           -           -           -           -           -           -27

4.3 Interpretation of result  -           -           -           -           -           -           -           -           -28

4.4 Conclusion         -           -           -           -           -           -           -           -           -           -30

CHAPTER FIVE

5.1 Summary -           -           -           -           -           -           -           -           -           -           32

5.2 Conclusion         -           -           -           -           -           -           -           -           -           -33

5.3 Recommendation           -           -           -           -           -           -           -           -           -34

References

 

 


CHAPTER ONE


1.0 INTRODUCTION

Given that the increasing rates of persons who are avoidably blind and visually handicapped are increasing. Avoidable sightlessness and visible impairment have become a worldwide welfare problem where things can go wrong in any of the eye structure, causing visible impairment and sightlessness. Some of these worsening are due to old age and lack of sufficient treatment, most eye disease shows no earlier effects, they can be painless, also shows several alteration on the visuals till the diseases has turn quietly in advanced. Though the unique advisable means to protect your eye is by frequent advanced eye examination and checkups.

There are an estimated 285 million persons with visible problem in the world, of whom 39 million cannot see with their eyes. The primary causes of sightlessness are related-age macular processes, glaucoma’s, corneal opacity, redness of the eye, cataract, nearsightedness, diabetic retinopathy, trachoma, and vitamins A’s need. Given the worldwide welfare value on visible conditions and sightlessness were accounted to be $3 trillion in 2010. The implicit pathophysiology of numerous glaring visual diseases’ still is deficiently comprehended. Ascertaining the number of patient’s that have higher chance for visual’s effects and blindness from visible diseases is a problem. With numerous existed treatment’s suchlike anti-angiogenic drugs, topical medications, surgical, and laser photocoagulations, millions of patients with related-aged macular abjection, glaucoma’s, and diabetic retinopathy that is continuously advance to visible deficiency and sightlessness. The top five commonest causes of blindness worldwide are cataract, trachoma, glaucoma, onchocerciasis and refractive errors in that order ironically almost all of these causes are potentially preventable and or easily treatable, but the bulk of the victims in Africa and Asia are either too poor, ignorant or do not have eye-care available. As a response to this global scourge, the World health organization in collaboration with the International Agency for the Prevention of Blindness (IAPB) in 1999 launched the global initiative “Vision 2020 Right to Sight” initiative for the global fight against preventable blindness in the world 2. In this program governments, non-governmental organizations, philanthropic individuals etc, are encouraged to contribute to the global fight against visual impairment and blindness in the world with a view to eliminate avoidable blindness by the year 2020.


1.1 HISTORICAL BACKGROUND OF DUTSE GENERAL HOSPITAL

The Hospital was established in 1972 as Dutse comprehensive health center (CHC) by old Kano state Government. The CHC was upgrade on 8, August 1985, to general Hospital and commissioned by the then military governor of Kano state, Air Commodore Hamza Abdullahi Fss/Psc.

Dutse General Hospital covers an area of 500m x 800m and currently 200 bed capacity with secondary health facility serving as a federal center for all PHCs in Kiyawa Local government areas. It also provides for other neighboring settlement in Kano and Bauchi State; thus the hospital centers for health care access of some 58,581 total catchment population  consisting of 2,239 under 1 year children, 11,716 children less than 5 years, 2,929 pregnant women and 12,888 women of child bearing age.

Human Resources for Health (HRH) of the general hospital is made of up 76 nurses, 5 JCHEW, 23 CHEW, 11 CA, 5 Midwives, 3 Conbew , 5 Health information Technicians, 4 Health Information Officers, 10 Medical Doctors,103 Health Attendant  and 93 casual staff including NYSC.


The facility offers services in the following areas:- General out-patients care, Accident and Emergency, Medical Laboratory, TB DOTS, Pathology, antenatal care, post natal care, Physiotherapy, Routine Immunization, Ultra sound scanning, X-ray counseling and Testing of HIV/AIDS, Outreach Family Planning, RVD management and care. PMTCT services, surgery, Nutrition and Institutional, Social Welfare, Laundry, Accounting and General Administration Registry.


1.2 STATEMENT OF THE PROBLEM

Visual impairment and blindness is a global problem. By the year 2000 the World Health Organization estimated that about 180 million people worldwide are visually impaired while 50million have profound visual loss or are blind, while an average of 6million people get blind each year. Over 90% of these blinds worldwide lives are in sub Saharan Africa, Asia and especially among the persons in the rural communities.

The provision of good health based on eye disease has been the problem faced by the people that have sight problem in General Hospital Dutse, Jigawa State . This results in the question such as:

What is the particular age and gender that is mostly at risk in relation to the three different eye diseases?

What are the most preventive measures, to control these three eye diseases?

 

 

1.3 AIM AND OBJECTIVES OF THE STUDY

Aim

The aim of this research is to analyze the data on eye diseases in General Hospital Dutse, Jigawa State from 2013-2022.


Objectives

1-To determine the trend of the three reported cases of eye diseases.

2-To fit the linear model of the three cases of eye diseases.

3-Forecast the incidence from 2023 and 2024.

 4. To test wither there is significant deferent in the victims of three eye diseases  


1.4 SIGNIFICANCE OF THE STUDY

This study provides a detailed account of eye disease cases and possible factors such as the type of eye diseases, gender, age and location of patient which may influence the condition of eye treatment. Anyone who comes in contact with this work will ascertain the problems of eye diseases, there spread or occurrences of eye diseases in General Hospital Dutse, Jigawa State over the period under review. This project will show the possible way to control and prevent the selected eye diseases. It is not a wasteful effort to embark upon a project of this sort. This research work will go a long way in helping not only the hospital management but also the whole society at large in reducing the effort of the three eye diseases in the society.


1.5 SCOPE AND LIMITATION OF THE STUDY

The research work is supposed to have considered all the hospitals in jigawa state and all types of eye diseases, but the research deliberately limit it to three eye diseases (cataract, glaucoma and conjunctivitis from 2013 to 2022) and General Hospital Dutse, Jigawa State as a case study, so as to make the research work feasible at this level. The problems encountered in this research work include time constraint, lack of finance and difficulty in releasing data by hospital etc.


1.6. RESEARCH HYPOTHESIS

1.6.1 Null hypothesis

Ho1: µ1 = µ2 = µ3

There is no significant difference in the mean effect of the predictor variables (type of eye disease, age of patient, gender and location) on the response variable (treatment condition).


1.6.2 Alternative hypothesis

Ho1: µ1 ≠ µ2 ≠ µ3

There is significant difference in the mean effect of the predictor variables (type of eye disease, age of patient, gender and location) on the response variable (treatment condition).


Decision Rule

If p-value is less than the level of significance α= 0.05, we reject Ho and conclude H1. Otherwise, we accept Ho.


1.7 DEFINITION OF TERMINOLOGIES

Eye: Are the organs of which notice light and change it to electrical signals that is channel to the brainpower.

Eyelids: The outermost structures that protect the eyeball and fill the visual layer.
Cornea: The transparent frontal "pane" of the eye that serves as the primary refractive layer.
Sclera: The thickened outermost surface of the eye, commonly white and cloudy.
Limbus: The union between the cornea and albuginea.

Iris: The color portion of the eye that screens out light.

Anterior chamber: The area that lies between the cornea anteriorly and the iris posteriorly.
Pupil: The cyclic entry in the center of the iris that amends the quantity of light passing through the eye.

Ciliary: Embody the system that produces aqueous humor.

Posterior chamber: The tiny area filled with aqueous humor behind the iris and in front of the anterior lenses capsule.

Vitreous cavity: The relatively bigger area behind the lenses that extends to the retina.
Optic disc: The part of the optic visual within the eye.

Retina: The neuronal tissue coating the vitreous hollow posteriorly.
Macula: The region of the retina at the back pole of the eye accountable for right, center vision.

Disease: A treatment procedure related with unique symptoms and signs caused by foreign factors.

Morbidity: The occurrence and frequency of diseases in a sample.

Conjunctiva: The small, vascular secretion membrane concealing the innermost feature of the eyelids.

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